Management of respiratory failure in obese patients. Efficiency of nasal bi-level positive airway pressure.


Rabec C., Merati M., Baudouin N., Foucher P., Ulukavac T. , Reybet-Degat O.

REVUE DES MALADIES RESPIRATOIRES, vol.15, no.3, pp.269-278, 1998 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 15 Issue: 3
  • Publication Date: 1998
  • Title of Journal : REVUE DES MALADIES RESPIRATOIRES
  • Page Numbers: pp.269-278

Abstract

Obstructive Sleep Apnea (OSA), Obesity-Linked Hypoventilation (OLH) - a hypoventilation which is independent of apneas and increased by sleep -, and COPD are mechanisms for respiratory failure in obese patients. We thought nasal bi-level positive airway pressure to be a suitable treatment : EPAP is useful to maintain upper airway patency and IPAP-EPAP difference to correct OLH and COPD hypoventilation. Our purpose is to report the results of such a therapeutic approach.